HCWs no need for annual HBV, HCV or HIV testing….?
Testing recommended after a needlestick incident
EPA disinfectants?
For surfaces and non-medical equipment ( most viruses, including hepatitis B)
FDA disinfectants?
For reusable medical equipment
What is Glutaraldehyde?
PH7,5-8,5 sporicidal, shelf life minimally 14 days. High-level disinfectants medical equipment too toxic
What is Hypochlorite?
Non-critical and semi-critical items(reusable), need to be used within 24hours preparation.
What is Hydrogen peroxide?
FDA cleared high-level disinfection, 6-25%
What is Phenol?
EPA registered low level disinfection for environmental and non-critical medical devices.
Critical…semi-critical….non-critical?
- Critical ( enter the body, vascular system)
- Semi-critical ( mucus membrane, non-intact skin )
- Non-critical ( touch intact skin )
How to disinfecting for BP cuff, stethoscope, e-stim clips?
Low and Intermediate disinfecting agents, EPA approved solutions
How to disinfecting for Cups or gua sha used over intact skin?
Intermediate disinfecting agents, FDA disinfectant
How to disinfecting for wet cupping, cups gua-sha tools non-intact skin?
High level disinfecting solution, ( may be help to dry and sterilize in autoclave )
Clean wall, windows, patient care areas …..?
Visibly contaminated or soiled.
Cleaning up spills of sharps?
- Gloves (two gloves)
- Tweezers or magnet ( sharps container )
- Clean and disinfected area ( soap and water, EPA solutions )
- Wash hands
Blood, body fluid, OPIM spills?
- Gloves
- Clean up visible matter
- Discard materials as biohazard waste
- Clean with soap and water
- Disinfect with EPA solution
- Wash hands
( cotton ball with drop of blood - ordinary trash )
( squeeze blood with drop of blood - biohazardous waste )
